Hospital worker gets 4 1/2 years in prison for stealing patient records.

  1. 0
    Los Angeles 4:28 PM June 15, 2009 - A former Cedars-Sinai Medical Center employee was sentenced to four years, eight months in prison after pleading guilty today to stealing patient information to defraud insurance companies of $354,000.

    The hospital had sent letters in December to more than 1,000 patients, warning them that their personal information had been found during a search of the home of James Allen Wilson, who worked in the billing department between 2003 and 2007.
    http://latimesblogs.latimes.com/lano...t-records.html
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  3. Visit  Anxious Patient profile page

    About Anxious Patient

    From 'california'; Joined Mar '07; Posts: 1,105; Likes: 2,010.

    10 Comments so far...

  4. Visit  oramar profile page
    2
    I know that employees in the hospital are in a good position to steal personal information. What I don't understand is how they can use that information to bill an insurance company and actually get paid.
    4hana9 and Luv2BAnurse like this.
  5. Visit  Katnip profile page
    2
    I don't know how that works, either. I guess we're not devious enough, Oramar. And I'm glad for that.
    Jarnaes and Luv2BAnurse like this.
  6. Visit  mappy profile page
    0
    The article said that he was also charged with identity theft - maybe he also stole information that would have helped him do this in some way? Not sure how that would work either, but it's the only thing that came to mind. I agree - very devious.
    Last edit by mappy on Jun 16, '09 : Reason: reread article for clarity
  7. Visit  fromtheseaRN profile page
    0
    i'm guessing he filed personal claims with the insurance companies, with fake bills saying he paid so much, and they reimbursed him directly.
    (i've had to file claims for receiving treatment at times my provider was not open to confirm coverage, and they've always reimbursed me directly)
  8. Visit  Jaynty profile page
    0
    omg, shocking!
  9. Visit  doesanyoneknowwhy profile page
    0
    called FRAUDING THE GOVERNMENT____FEDERAL OFFENSE....so this is just one of the many federal fraud crimes (*in this case common; however medical field surely will get the publicity*) people are presecuted for, like tax fraud....any time someone frauds the Government, is like playing with fire.....rest is history.
  10. Visit  blue note profile page
    0
    Quote from oramar
    I know that employees in the hospital are in a good position to steal personal information. What I don't understand is how they can use that information to bill an insurance company and actually get paid.
    This article explains how:

    Prosecutors told the hospital that Wilson set up a fake laboratory company. He allegedly used the names of actual workers' compensation beneficiaries to submit claims for services that were never performed at the fictitious lab, according to a hospital letter. The insurers sent payments by check to a post office box that Wilson set up, the letter said.
  11. Visit  marteldude1980 profile page
    0
    THIS IS HORRIBLE!!!!
  12. Visit  doesanyoneknowwhy profile page
    0
    i know. i think that every employee in the US should be throughly criminally checked before they are hired, especially when people are being hired to handle medical information, i have talked to a few medical clerks in hospitals, and they are not subjected to a criminal background check before they are hired.

    these poor people who were violated of their privacy.
  13. Visit  rainingwoman profile page
    0
    Sometimes, people just have to be "made example of." The lady that just got fined 80,000 for each of the 24 songs she downloaded illegally is a prime example. Sometimes, people just need to make a point.

    When it comes to confidentiality though, we need to be tough. That's people's lives and reputations, and its personal.


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